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  1. Gareth S. Owen, Fabian Freyenhagen, Matthew Hotopf & Wayne Martin (forthcoming). Temporal Inabilities and Decision-Making Capacity in Depression. Phenomenology and the Cognitive Sciences:1-20.
    We report on an interview-based study of decision-making capacity in two classes of patients suffering from depression. Developing a method of second-person hermeneutic phenomenology, we articulate the distinctive combination of temporal agility and temporal inability characteristic of the experience of severely depressed patients. We argue that a cluster of decision-specific temporal abilities is a critical element of decision-making capacity, and we show that loss of these abilities is a risk factor distinguishing severely depressed patients from mildly/moderately depressed patients. We explore (...)
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  2. Thomas Hindmarch, Matthew Hotopf & Gareth S. Owen (2013). Depression and Decision-Making Capacity for Treatment or Research: A Systematic Review. BMC Medical Ethics 14 (1):54.
    Psychiatric disorders can pose problems in the assessment of decision-making capacity (DMC). This is so particularly where psychopathology is seen as the extreme end of a dimension that includes normality. Depression is an example of such a psychiatric disorder. Four abilities (understanding, appreciating, reasoning and ability to express a choice) are commonly assessed when determining DMC in psychiatry and uncertainty exists about the extent to which depression impacts capacity to make treatment or research participation decisions.
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  3. William Lee, Annabel Price, Lauren Rayner & Matthew Hotopf (2009). Survey of Doctors' Opinions of the Legalisation of Physician Assisted Suicide. BMC Medical Ethics 10 (1):2-.
    BackgroundAssisted dying has wide support among the general population but there is evidence that those providing care for the dying may be less supportive. Senior doctors would be involved in implementing the proposed change in the law. We aimed to measure support for legalising physician assisted dying in a representative sample of senior doctors in England and Wales, and to assess any association between doctors' characteristics and level of support for a change in the law.MethodsWe conducted a postal survey of (...)
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  4. Gareth S. Owen, Fabian Freyenhagen, Genevra Richardson & Matthew Hotopf (2009). Mental Capacity and Decisional Autonomy: An Interdisciplinary Challenge. Inquiry 52 (1):79 – 107.
    With the waves of reform occurring in mental health legislation in England and other jurisdictions, mental capacity is set to become a key medico-legal concept. The concept is central to the law of informed consent and is closely aligned to the philosophical concept of autonomy. It is also closely related to mental disorder. This paper explores the interdisciplinary terrain where mental capacity is located. Our aim is to identify core dilemmas and to suggest pathways for future interdisciplinary research. The terrain (...)
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